Kaja Rudinow, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60043637 Issued in WA

Practice address

1448 NW Market St Ste 200
Seattle, WA 98107-3743

Phone

(206) 860-2210

Fax

(206) 860-4461

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Polyclinic PLLC

  • Durable Medical Equipment & Medical Supplies
  • Tacoma, WA
  • NPI 1831411487
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1699396614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17426 BOTHELL WAY NE UNIT A102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111948",
            "telephone_number": "425-420-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 NW MARKET ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073743",
            "telephone_number": "206-860-2210",
            "fax_number": "206-860-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDINOW",
        "first_name": "KAJA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60043637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime D. Ruddell, ARNP
• Ginger Rae Ruddy, MD
• Jennifer Ruddy, MD
• Shannon Leigh Rude, LMP
• Jacob R Rudick, BA
• Jordan Samuel Rudman, MD
• Steven Rudnick, MD
• Jeremy Samuel Rudoler
• Gregory D Rudolf, MD
• Vania P Rudolf, MD

• Physical Therapy Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.